Provider Demographics
NPI:1750320313
Name:GREENSPRING VILLAGE
Entity Type:Organization
Organization Name:GREENSPRING VILLAGE
Other - Org Name:HOME HEALTH AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:HOME HEALTH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JIUNHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-923-4600
Mailing Address - Street 1:7400 SPRING VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-4480
Mailing Address - Country:US
Mailing Address - Phone:703-923-4600
Mailing Address - Fax:
Practice Address - Street 1:7400 SPRING VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-4480
Practice Address - Country:US
Practice Address - Phone:703-923-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497596Medicare ID - Type UnspecifiedHOME HEALTH AGENCY